Pastoral Care Center - Prayer Need Submission

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Do you need prayer and encouragement? If so, we are here for you. Our Pastoral Care Center is committed to supporting you in every season of your life. We would love to know how we can be praying for you.

We want you to know that there is hope, healing, and new beginnings. Fill out this form to let us know how we can support you in this season and if you would like to be added to our prayer list.

*Our pastoral care services are not intended to be a substitute for professional medical advice, diagnosis, or treatment.

First Name *

Last Name *

Email Address *

Preferred Phone Number *

Preferred Language *

English

Spanish

Creole

Other:

What campus do you attend? *

Valley Stream

Rosedale

Spanish

Haitian

None

Gender *

Male

Female

Are you a minor? *

Yes

Would you like a team member to call you?
*

Yes

Would you like to be added to our prayer list? *

Yes

Other:

Your prayer need *

Additional Questions or Concerns

Submit

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